Grider, Deandre Deshawn

Grider, Deandre Deshawn is an individual health care provider with primary practice located at 2740 College Ave , Conway AR 72034-6141. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Grider, Deandre Deshawn can be contacted via phone (501) 329-5459.

Contact Information

Primary practice address
2740 College Ave Conway AR 72034-6141
Phone: (501) 329-5459
Fax: (501) 327-1738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1457871899
LBN Legal business name Grider, Deandre Deshawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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